论文部分内容阅读
目的:归纳总结原发性环咽肌失迟缓症的诊断、治疗经验并介绍新的手术方法。方法:根据2008年收治的2例原发性环咽肌失迟缓症患者的资料,结合文献分析、探讨其诊疗规律,提出新的手术见解。结果:原发性环咽肌失迟缓症诊断困难,应结合纤维喉镜、硬质食管镜及钡餐造影等进行排他诊断。结论:手术治疗是最佳选择,环咽肌部分切除加食管上段环行肌部分切除术优于已往单纯的环咽肌切断术。
Objective: To summarize the diagnosis and treatment experience of primary cricopharyngeal hypopnysia and to introduce new surgical methods. Methods: According to the data of 2 cases of patients with degenerative orophakic sphincter of primary cricopharyngeal muscle who were treated in 2008, the rules of diagnosis and treatment were discussed and the new surgical opinions were put forward. Results: The diagnosis of delayed or retardation of primary cricopharyngeal pharyngeal muscle was difficult to diagnose. It should be combined with fibrolaryngoscope, rigid esophagoscopy and barium meal angiography. Conclusion: Surgical treatment is the best choice. Partial resection of the cricopharyngeal muscle plus partial transection of the upper esophagus is better than the previous circumcision alone.